Physician
Susan R Fernandez PC
Susan R Fernandez PC was paid $2.60M by Medicaid between Jan 2018 and Oct 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoSUSAN R FERNANDEZ PC
HENDERSON, NV 89052
HENDERSON, NV 89052
33aNPI1346374238assigned 03/15/2007
33bProvider typePediatrics Physician
28Total paid$2.60M
24GClaims138,492
24DCodes billed67
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Nevada
Rank by total paid#20 of 267
Median peer was paid$116K
This provider vs. median22×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,148 | $63K | |
| 2019 | 32,791 | $577K | |
| 2020 | 25,757 | $492K | |
| 2021 | 26,020 | $510K | |
| 2022 | 22,710 | $420K | |
| 2023 | 18,499 | $350K | |
| 2024incomplete | 8,567 | $189K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 10,303 | 8,716 | $645K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,981 | 2,900 | $286K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 6,946 | 6,586 | $275K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 2,685 | 2,372 | $236K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 2,423 | 2,368 | $230K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 1,595 | 1,562 | $166K |
| 92567 | 5.2% | 11,622 | 10,440 | $135K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.6% | 1,003 | 929 | $94K |
| V5008 | Hearing screening | 3.4% | 6,575 | 6,402 | $89K |
| D1206 | Topical application of fluoride varnish | 2.7% | 5,493 | 5,354 | $71K |
| 99188 | 2.4% | 5,503 | 5,356 | $62K | |
| 92587 | 2.1% | 6,071 | 5,904 | $55K |
55 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.7% | 2,179 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 6,430 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 4,005 | $34K |
| 99058 | <1% | 1,335 | $23K | |
| 87070 | <1% | 4,016 | $17K | |
| 99383 | <1% | 113 | $12K | |
| 94760 | <1% | 11,343 | $12K | |
| 36416 | <1% | 2,915 | $11K | |
| 85018 | <1% | 7,521 | $11K | |
| 96127 | <1% | 1,833 | $8K | |
| 85014 | <1% | 7,521 | $7K | |
| 99381 | <1% | 65 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 327 | $6K |
| 99384 | <1% | 51 | $6K | |
| 99382 | <1% | 34 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 209 | $3K |
| 87999 | <1% | 493 | $2K | |
| 89190 | <1% | 515 | $2K | |
| 94664 | <1% | 239 | $1K | |
| 90461 | <1% | 61 | $988.16 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 19 | $746.18 |
| J7699 | Noc drugs, inhalation solution administered through dme | <1% | 122 | $477.42 |
| 90680 | <1% | 768 | $466.62 | |
| 81002 | <1% | 255 | $385.14 | |
| 87807 | <1% | 51 | $370.42 | |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 209 | $343.34 |
| 90670 | <1% | 1,490 | $177.76 | |
| 83655 | <1% | 24 | $176.74 | |
| 99000 | <1% | 4,271 | $120.21 | |
| 90710 | <1% | 746 | $111.11 | |
| 90698 | <1% | 846 | $111.10 | |
| 90633 | <1% | 1,055 | $111.10 | |
| 90686 | <1% | 1,823 | $101.21 | |
| 90744 | <1% | 659 | $88.88 | |
| 99001 | <1% | 4,126 | $68.31 | |
| 87081 | <1% | 37 | $62.42 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | <1% | 176 | $58.25 |
| 97802 | <1% | 2,450 | $39.13 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 2,448 | $23.44 |
| 90713 | <1% | 172 | $22.26 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 13 | $10.84 |
| 90697 | <1% | 86 | $0.11 | |
| 90619 | <1% | 82 | $0.06 | |
| 90651 | <1% | 158 | $0.04 | |
| 90671 | <1% | 180 | $0.03 | |
| 90716 | 0% | 82 | $0.00 | |
| 90696 | 0% | 217 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 13 | $0.00 |
| 90656 | 0% | 77 | $0.00 | |
| 90648 | 0% | 273 | $0.00 | |
| 90734 | 0% | 325 | $0.00 | |
| 90715 | 0% | 195 | $0.00 | |
| 90700 | 0% | 423 | $0.00 | |
| 90672 | 0% | 126 | $0.00 | |
| 90707 | 0% | 90 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSAN JOSE, ROSE (OFFICE MANAGER)